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HomeMy WebLinkAbout0041 CARRIE LEE'S WAY - Health 41 Carrie Lee's Way Centerville A= 168 —008 - 013 UPC 12534 No.2�3LOR � �w,Mr No....-•---- •---- ---- ,. Fus.............................. THE COMMONWEALTH OF MASSACHUSETTSl': BOAR® OF HEALTH �S q Appliration for Disposal Works Tonstrurtinn rnmit Application is hereby made for a Permit to Construct (//) or Repair ( ) an Individual Sewage Disposal System at: L. ------- -.....----------•--------------•--•------.............---- Location-Address or Lot No. James K. Smith Barnstable -- ............ .. .............................................. ..........•--••-••••••-•-.....----........-•-••-..........••-••-•--•...._.._..---•............... Owner Address a Vetorino Brothers Barnstable Installer Address d Type of Building Size Lot.2:0.3_2Q,...Sq. feet aDwelling—No. of Bedrooms..........a............................Expansion Attic 0 p) Garbage Grinder (Me) p, Other—Type of Building M.1A.............. No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures -------•---••--•---•--------••-- •W Design Flow........// ________________________gallons per pe CDAray. Total daily flow......�.�IA?.....................gallons. WSeptic Tank—Liquid capacity,1Q.Q.0.gallons Length__.b.•-- Width.4_70 Diameter________________ Depth.5.`.8.`" x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No......... ---- Diameter.....a......... Depth below inlet....6............. Total leaching area.,0.Ck..sq. ft. Z Other Distribution box ((j Dosing tank ( ) Percolation Test Results Performed by_'XDNAG2).... ..... Date...M-4.R.Cd-._a_1)A_)8 Test Pit No. 1__fir Z...minutes per inch Depth of Test Pit....1........... Depth to ground water........................ (a, Test Pit No. 2.Z-,2....minutes per inch Depth of Test Pit...�e ............ Depth to ground water........................ p� -•--------•--• ------------------------------------------___................................................................................................. O Description of Soil......O..-._.o°Z-------�-tv....AjV.?3....S-U.8S.011— _.aa.- r./�.----.....�1.6. VAM_:-.C. ARS.� v ....5.,9,1V.b.................&0..........kvArea--------&M-o®.j.N.Y-46A2......----,------Y.Ai.e-Alt........S,0.1,4 ............ VNature of Repairs or Alterations—Answer when applicable................................................................................................ ----------------------------------------------•--••---------•-----........_.....•--••-----------•-••-----•-------------------------•-------------------------.......................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITIEj 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. S'gpl&d .... ................ Date 7 Application Approved B,Y-----✓.� �._-_e �.-_7 ----- Date Application Disapproved for the following reasons:----•-------------------•--.....------------------------------------------------•---.....-----•------.....---•-• /�. � �ry� ✓ Date Permit No. -.. Issued_ ,Vf ---•..... --- Date __ r J No.............. FEs................. ' THE COMMONWEALTH OF, MASSACHUSETTS BOARD OF HEALTH n oF........ - 3 -. . App iratilan for Disposal Work Tonstrnrtion umi# Mp" lication is hereby made for a Permit to Construct Work Repair an Individual PP Y ( ) p ( ) v dual Sewage Disposal System at: ................_...................- - ......... - ..... ........ ... Location-.Address or Lot No. ...........James.Xe".Sin 3th--•.............•-----------•-•---------•------•----- Barnstable --•----------------------••----•-•----•••-----•-•-...•-•-•----......_....-•--- Owner Address W stator-lao._aratb.999______...:. Barnstable a .............................•-- Address 1 � Installer Type of Building Size Lot_____� ? . Sq. feet .� Dwelling—No. of Bedrooms...._._..:._ __ - Expansion Attic / Garbage Grinder ( ' aOther—Type of Building �✓__________________ No. of persons............................ Showers ( ) — Cafeteria ( ) Other x ures --------------•---------_ _....- ................................. Design Flow gallons per�eertm Total4 ily.$pw.---•_ ` � -----•----- 1,°,�{i�>� WSeptic Tank—Liquid capacity���agallons Length________________ Width__.._.________.. Diameter__________._____ Depth.... ______-- x Disposal Trench—No_______________ ____ Width ^•_. ------------ Total Length......_-V�------ Total leaching area_____________.._.__sq. ft. Seepage Pit No_____________________ Diameter...... ......... Depth below inlet.................... Total leaching area_+�_�___()O..sq. ft. Z Other Distribution box ( Dosin tank (, ) Percolation Test Result Performed by r' �+..�+lt ka •�r f�1 R t2 t l ---- - t. Date -----•- J ,a Test Pit No. L_________ ____minutes per inch,~Depth of Test Pit-----.',.......... Depth to ground water.................... 11 44 Test Pit No. 2_�''.�____.minutes per ingh Depth of Test Pit___.".. . ........ Depth to ground water________________________ a ` ------..... D Descriptio of Soil-_•••-0 .. ° --4� t 4 !�1l �✓ ' 0>4 a�."c' /°'� i•+ '1 �1 J S+3r x � � - k5 ! ✓9Lid+ ab ------- Sr �c., /� so✓�.. - - -- U Nature of Repairs or Alterations—Anjswer when applicable_._____:: _>_ ________________________________________________ Agreement: The undersigned agrees to install the' aforedescribed Individual Sewage b> posal.System in accordance with the provisions of TITLE 5 of the Code—The undersigned further agrees_not to place the system in operation until a Certificate of Compliance.,;has been issued:'b),the board of health. Sig -- ......... . Application Approved By.. ..__ D to ' ------------------r•-----••------•-•--•- Date Application Disapproved for the following reasons:•.............................................................. ":•___,_____••_••-_ r ......................................... •••-•••--.._....--•----------••-_....-----•---••----•---•••--••-. •---•--------•----•---••-••-•-•-._._....-•--•-•••---•...-•---•-•-•••--•--••-----••..................................................... Date PermitNo......................................................... f: Date THE COMMONWEALTH OF MASSACHUSETTS e BOARD OF HEALTH .............ToWn..................OF.......... *.3R$.t61@.........................-........_......... �rr#ifirtt � of TompliFane r THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( or Repaired ( ) by..............vatorlao-.Zrathera-------------------------------------------------------------------------------------------------------------------- •--•---...._.__...._ t Her at__....---•-----Lot-_14 Carrie Lees Ray, CenterviTte -------------**------ has been installed in accordance with the provisions of TIt� . ,e State Sanitary Ccyrtus-described in the application for Disposal Works Construction Permit No____ ____________ _ da.ted___.- ................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARAf Th THAT HE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector...................................... - -A..................................... THE COMMONWEALTH OF MASSACHUSETTS \ BOARD OF HEALTH Tom Barnstable ................................. No......................... FEE........................ �i��al�at� larks C�nn,��riir##inn rrani� . . - ,'� Detorino Brothers Permission is hereby granted ------- ---- -•-• ------- - .... • --•-- to Construct ( x) or Repair ( ) an Individual Sewage Disposal System at No.....................Lot_114..Cetrr19..TAgL1n..Wa9s..Centerville ......................................... Street as shown on the application for Disposal Works Construction Permit ted �`Z —'��*' �+ = r oe DATE_ ~ S 7^ Board of Health v b FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS LOCATION �-- CSEWA E PERMIT NO. VILLAGE L 4- INSTA LLER'S NAME i ADDRESS lo 4wx a L B UILDE R R !OWN R UL DATE PERMIT ISSUED DATE COMPLIANCE ISSUED (fc :;t,�- ��- �� f � - 0 .� �� . ,`�' � `� � � o �1 � � � �.r,,,,,� , . �.�� V. < { . 'TEST S 76 0 �. ;� u at o �47 £N. _. PfA UL -mURRAY - i :S P cl FOUN RES vE „ ' ,s TEST �. s. F ©-9-4' LOAM ANb" v LOT. 14 � � � " t, � t. 2O 3 ?a A LEACH E V. 5,o LQ'T 15 ' NQ WATFR E_0�N ��R�b - TC7WN WATLF i'S AYA,.lLA 1 1. -�- SIMILAR . SOIL CON0./T/ON- IN BOTH ""EST N.C}.LES E� / 4iivi/L%/U/t/! � SCALE. ., '�0 ` , �D//VG S ET aACA ,2E U/;�E ME/l/TS F20/V 7- SE P T/G 5 y5 TAM CO/V3 T2 LAC T/ON SHA DES/G/v FLOW. Ir 0 GAL/17AY - ENV/.2ONML-NT4L GOOD. T/TL.E Y' LG-,4 C,�-/_ 2�1TE � � M/N: 1//VGA'/ D- c, ,e Eves�� /- 7 C3t� R N 7'fD 'LE R EQUIRE--n 1-,EACN Aeze4 3�70(.1:0 _ 13.2a • TOP OF • ., P2o�os E�/ 0 2 OF .n�E.4 sro", M'AN/-IOLE. Co✓E,2 TO E-X 7-,EA/Z7 7-0 /AlpL'.2✓/OCIS co V.-/z TO X2E V fA,17 W/T/-//A/ /A/ E_D 0,'eAZ)F ,c20n-! /A/F%LTi2AT/itl6 S rowE .� /$ Z¢ `Co�/L,rzS /O' - L D/S T /O I AYI V/nv/U,r,/ f COVE z,6.�, CAST/ton/ �� I l3ox 1 Z/"w/mac aciEe p/TC -- --�--- ---a—: TIGwr 4"WA, . /O_LCq cam/ f/ FLO-w LANE tiji _� c . J n/ ^'line src<i. Z)IA, /4" �.St. FOOT i t - -Y'_ Minl ��../ Foor a:,0'0' �WAS HEo - /wv r S ro A16 GALLON/ /N.VE,eT 0) ;SILL. r /A/VE2T CA PA G A PZ O uNO SE�T/G TA A/e f�-EV. 1 45 o�= (WA TG T/G h/T) %V VEST ND GA eBAGE C einJDE2 �� Q . 20, .M SITE N 2EF�2E:AJCE - -LQZ 4 ` 5 Siio _ EDr/C• TANS L7/5?-2/BUT/O�/ 80h' _� _-_ 130-OK 3 PA,` E \ bUT/ ET�� AND LE 4Gs✓/.�/G .�/T "i�it1R` E3E".O.F ,E?,- O�CED •GQnICTzETE lit TE t57",2EAJ(57]V 3000 psi .­J/N. ?!u.�L�3 - _ F \ SM " 1 ,g .rGt$ E��c DEL 20000 L OA D//,/6j V c' WAY h/O T TO BE LOCH TAD �Q k�Al0L-177W��r /'��1 � � �,Q✓E2 S�'STEM CJyn^lL'E55 �/- 20. / �,�h Or °.c �S/vim/ L.0;-A r-VA/O J.5 USED. 1 'GER"TIFI' THAT .7t�E EXfSTdt1lC FOCiNQAT/p!V ;, ,_ . -.. �. . c LOCAT/ON `15 'CORRECT .AS St�OWN ': faNQ IT DOts . -' NFORM T:O.T#4,� 13 IL 1�e''4_5 �. iOi�. ,p: SETQACK ' 1?EQ_L)lRE-M04.r_s. OF 7—HE f� . Tr, .�JN . �F e RN STA"LE. n u IDA Tl-_ 41E,4 L 774 ;,, ' i 1 i n I � , I 1 i 1 I t : i 1 v 1 i 1 i : Ai ev it i_ :._.. ._.. .. .............. 1 ; APPROVED BY. t SCALE- DRAWN BY - i t DATE- REVISED ` i — I _....... . _ __....__ _ _._... ._.. ......._.. - .._..._._.. _ DRAWING NUMBER i 9c�• Cx. 1�-'F a i �L Fri i N Ao s �I �1 (GIB eP'Y j j LM is i is t 4k- c fi2 1 Q i � s � ( T � • i ? , ; is �� , ��+ s' 101) in zi ' s r � i i � i 1 i I ; f i I O N } i D i i m N � O . I r t •� l�` N m z r' aC ` C 1 = T -:71 r. f�